| Kid's Dental Zone Slidell Llc | |
|
1128 Old Spanish Trl Slidell LA 70458-5020 | |
| (985) 646-2146 | |
| (985) 646-2158 |
| Full Name | Kid's Dental Zone Slidell Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1128 Old Spanish Trl, Slidell, Louisiana |
| Authorized Official Name and Position | Edward Lawrence Donaldson (PARTNER) |
| Authorized Official Contact | 9856413988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid's Dental Zone Slidell Llc 2960 Gause Blvd E Slidell LA 70461-4153 Ph: (985) 641-3988 | Kid's Dental Zone Slidell Llc 1128 Old Spanish Trl Slidell LA 70458-5020 Ph: (985) 646-2146 |
| NPI Number | 1164668968 |
|---|---|
| Provider Enumeration Date | 12/29/2008 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164668968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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